Sexually Transmitted Diseases in Adolescents

What are sexually transmitted diseases (STDs)?

Sexually transmitted diseases (STDs) are infectious diseases transmitted through sexual contact. The Center for Disease Control and Prevention (CDC) estimates that 19 million new cases occur annually in the US. Fifty percent of the new infections occur in people between the age range of 15 to 24 years.

Protecting your adolescent from STDs:

The best way to prevent your son or daughter from contracting an STD is to advise them to abstain from any type of sexual intercourse. However, if they decide to become sexually active, or are currently sexually active, there are several precautionary measures to follow, recommended by the National Institute of Allergy and Infectious Diseases, to help reduce your adolescent's risk of developing a sexually transmitted disease. These include the following:

have a mutually monogamous sexual relationship with an uninfected partner

use (consistently and correctly) a male latex or female polyurethane condom and topical microbicides

use sterile needles if injecting intravenous drugs

decrease susceptibility to HIV infections by preventing and controlling other STDs

delay having sexual relationships as long as possible - the younger a person is when they begin to have sex for the first time, the more susceptible they become to developing an STD

have regular checkups for HIV and STDs

learn the symptoms of STDs and seek medical help as soon as possible if any symptoms develop

avoid having sexual intercourse during menstruation

avoid anal intercourse, or use a male latex condom and topical microbicides

avoid douching

What should my adolescent do if diagnosed with an STD?

Begin treatment immediately, take the full course of medications, and follow your physician's advice.

Do not breastfeed a baby or use breast milk to feed a baby.

Notify all recent sexual partners and urge them to get medical checkups.

Avoid sexual activity while under treatment for an STD.

Have a follow-up test to be sure the STD has been successfully treated.

What are some common types of STDs?

Numerous STDs have been identified and affect more than 19 million men and women in this country each year. According to the National Institute for Allergy and Infectious Diseases and Centers for Disease Control, common types of STDs include:

acquired immune deficiency syndrome (AIDS)AIDS is caused by the human immunodeficiency virus (HIV), a virus that destroys the body's ability to fight off infection. People who have AIDS are very susceptible to many life-threatening diseases and to certain forms of cancer.

Transmission of the virus most often occurs during sexual activity or by the sharing of needles used to inject intravenous drugs.

human papillomavirus (HPV)HPV is a common sexually transmitted disease that can cause genital warts called condylomas, which can occur on the inside or outside areas of the genitals and may spread to the surrounding skin or to a sexual partner. Because HPV infection does not always cause warts, the infection may go undetected.

Women with an HPV infection have an increased risk of developing cervical cancer. Regular Pap tests can detect HPV infection, as well as abnormal cervical cells. An HPV vaccine is available to help prevent cervical cancer.

Although there is treatment for the genital warts (which sometimes go away on their own), the virus remains and warts can reappear. Certain types of HPV can also cause warts on other body parts such as the hands, called common warts; however, these do not generally cause health problems.

chlamydial infectionsChlamydial infections, the most common of all STDs, can affect both men and women. They may cause an abnormal genital discharge and burning with urination. In women, untreated chlamydial infection may lead to pelvic inflammatory disease (PID). Chlamydial infections can be treated with antibiotic therapy. Unfortunately, many people with chlamydial infection have few or no symptoms of infection. The most common and serious complications occur in women and include pelvic inflammatory disease, ectopic (tubal) pregnancy, and infertility.

gonorrheaGonorrhea causes a discharge from the vagina or penis and painful or difficult urination. The most common and serious complications occur in women, and include pelvic inflammatory disease, ectopic (tubal) pregnancy, and infertility.

Symptoms may include painful blisters or open sores in the genital area, which may be preceded by a tingling or burning sensation in the legs, buttocks, or genital region. The herpes sores usually disappear within a few weeks, but the virus remains in the body and the lesions may recur from time to time.

There is no cure for HSV but there are anti-viral agents to take that can shorten an outbreak and reduce symptoms.

syphilisThe initial symptom of syphilis is a painless open sore that usually appears on the penis, in the vagina, or around either sexual organ. Untreated syphilis may go on to more advanced stages, including a transient rash and, eventually, serious involvement of the heart and central nervous system. Syphilis infections can be treated with antibiotic therapy.

Other diseases that may be sexually transmitted include:

bacterial vaginosis

chancroid

cytomegalovirus infections

granuloma inguinale (donovanosis)

lymphogranuloma venereum

molluscum contagiosum

pubic lice

scabies

trichomoniasis

vaginal yeast infections

Facts about STDs and adolescents:

STDs affect men and women of all backgrounds and economic levels. However, nearly half of all STD cases occur in people younger than age 25 in the US.

STDs are on the rise, possibly due to more sexually active people who have multiple sex partners during their lives.

Many STDs initially cause no symptoms. In addition, many STD symptoms may be confused with those of other diseases not transmitted through sexual contact - especially in women. Even symptom-less STDs can be contagious.

Women suffer more frequent and severe symptoms from STDs:

Some STDs can spread into the uterus (womb) and fallopian tubes and cause pelvic inflammatory disease (PID), which can lead to both infertility and ectopic (tubal) pregnancy.

STDs in women also may be associated with cervical cancer.

STDs can be passed from a mother to her baby before or during birth. Some infections of the newborn may be successfully treated, but others may cause a baby to be permanently disabled or even die.